Coronary Artery Bypass Grafting Surgery in India : Read the Facts !

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What is coronary artery bypass grafting?

Coronary Artery

Coronary bypass grafting surgery (CABG), popularly known as bypass surgery or heart bypass surgery is done to ease the patient from symptoms of blocked coronary artery and to restore the effective blood supply to the heart. Set of three Coronary arteries (left, right and circumflex coronary artery) function to supply oxygenated blood to the heart muscles and maintains the vitality of the heart. Any significant blockage in coronary artery results in deficient blood supply to the heart that hampers its normal functioning. CABG are the procedure in which a vessel from other part of the body is harvested and grafted over the blocked coronary artery. This creates a bypass route of blood to flow through the occluded coronary artery, thereby restoring the blood supply to the heart. The common vessels which are harvested for grafting are; internal mammary artery (chest), saphenous vein (leg), radial artery (wrist), gastro epiloic artery and inferior epigastric artery (abdomen). Depending upon how many arteries are bypassed CABG can be classified as single, dual, triple or quad bypass surgery.

Who Needs the CABG Surgery?

Coronary artery bypass grafting (CABG) is used to treat people who have the following incidence of heart diseases like:

  • Coronary artery disease
    The two diseases of coronary artery are; Arteriosclerosis, which is characterized by thickening a calcification of coronary artery leading to its stenosis and Atherosclerosis, which is the formation of yellowish plaques of cholesterol inside the lumen of the artery that occludes the artery.
  • Ventricular dysfunction
    CABG is also done in patients who have developed muscular weakening of the left ventricle that causes a decrease in the ejectile fraction of heart.
  • Heart attack
    At times, CABG is performed as an emergency procedure in the patient presenting with sudden fatal cardiac arrest (heart attack).
  • Restenosis of coronary artery
    CABG is the only treatment of choice in patients presenting with signs of restenosis of the coronary artery after an angioplasty or stent procedure.

    • Based on the following factors, your doctor will decide whether you are a candidate for CABG.

 

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What To Expect Before Coronary Artery Bypass Grafting?

Your doctor will ask you to undergo the tests for coronary heart diseases, that may include a Chest X-ray, blood tests, an EKG (electrocardiogram), cardiac catherization, an echocardiogram and a coronary angiography. Your doctor will advise you regarding what you can eat and drink, which medicines to take and which activities you should stop. It is likely, you’ll be admitted to the hospital on the same day as the surgery.

If the results of the tests show that you have severe blockages in your coronary arteries, then your doctor may admit you to the best hospital for CABG in Inida and the surgery will be performed that day or the day after.

What are the Procedures used for CABG?

The most common procedures used for CABG are:

  1. Traditional CABG
    This is an open heart surgery done under general anesthesia; during this surgery the surgeon makes a 6-8 inch incision on sternum to reach the heart of the patient and heart is stopped and the patient is put on the heart-lung bypass machine. The surgeon then harvests an apt vessel and graft is over the occluded coronary artery.
  2. Off-pump CABG
    This surgery is done in a similar way as traditional bypass surgery. The patient is not put on the bypass machine, rather drugs are given that slows the heartbeat and graft is implanted on functioning heart.
  3. Minimally invasive direct CABG
    This is the most advanced robotic CABG. The chest is not opened rather a 3 inch incision is made through which interior of the chest is visualized on the monitor and the graft is implanted.

What To Expect After Coronary Artery Bypass Grafting?

After the CABG surgery, you will be taken to the recovery room before being taken to the ICU (Intensive Care Unit) where you will be closely monitored. How you feel post surgery will greatly depend on your overall health, the results of the CABG surgery and how well you take care after surgery. The complete recovery after traditional bypass surgery requires 6-12 weeks; the recovery time is less in other two CABG. Most patients do feel better after recovering from the CABG surgery. Your doctor will provide specific guidelines for your recovery and when you can return back to normal work. He or she will provide you specific instructions on how to take care for your incision and general health posy CABG surgery.

You will probably need to visit your doctor during the first few months post surgery.

Comparison of CABG with other types of cardiac surgeries:

CABG is quite a different procedure from other conventional cardiac surgeries used for treatment of occluded coronary arteries.

CABS

Angioplasty

Atherectomy

RF Abilation

Stent procedure

Procedure

A vessel from other part of body is harvested and grafted over the occluded artery, which creates a bypass route for the blood flow.

A catheter is threaded towards the blocked coronary artery via blood vessel from arm or leg. The balloon at the tip of catheter is inflated to push the plaque into the wall of artery to restore the blood flow.

Catheter is used to reach the occluded coronary artery via a blood vessel. The tip of catheter has a sharp rotating blade which trims the plaque present in the artery and clears the lumen of the artery

Radiofrequency waves are send towards the occluding plaque of coronary artery via Catheter threaded into the vessel. These waves generates heat and ablates the plaque and restores the blood flow

A similar procedure like angioplasty is done. In addition, a stent or mesh is placed inside the lumen of the artery which prevents the restenosis of artery in future.

Type of surgery

Open-heart surgery invasive done under

Minimal invasive procedure done under local anesthesia

Minimal invasive procedure done under

Minimal invasive procedure done under local anesthesia

Minimal invasive procedure done under

general anesthesia

local anesthesia

local anesthesia

anesthesia

local anesthesia

Indications

Coronary artery disease which have completed occluded arteries that can’t be restored by other procedure
Failure of other procedures

Small plaque which occludes the artery

Single/multiple small plaques

Single/multiple small plaques

Single/multiple small plaques

Coronary artery bypass grafting cost in India

Low Cost Coronary artery bypass grafting surgery in India is highly advanced and effective. The best cardiac hospitals in India have highly equipped OTs backed latest technologies which offer the best in class minimal invasive/ robotic coronary heart surgery. The best cardiac surgeons in India perform the CABG by utmost skills, whereas the highly dedicative health care staff ensures a speedy recovery to the patient. The average cost of the highly advanced CABG in India is about 60% less than CABG cost in the US or UK.

The Coronary Artery Bypass Graft Surgery Cost in India is quite affordable compared to that offered in the developed nations. Check out the bypass surgery cost at Apollo, Fortis and Narayana Hrudayala and get the low cost of CABG Surgery in India on our website

 

Who Are The Top Recommended Surgeons Performing CABG (Cardiac Bypass) Surgery In India?

  • DR. NARESH TREHAN
  • DR. RAJESH SHARMA
  • DR. ALI ZAMIR KHAN
  • DR NANDKISHORE KAPADIA
  • DR AMAR NATH GHOSH
  • DR SARAJIT KUMAR DAS
  • DR K M MANDANA
  • DR MADAN KUMAR K
  • DR K R BALAKRISNAN
  • DR BASHI V VELAYUDHAN
  • DR Z S MEHARWAL
  • DR RAJU VYAS
  • DR MANOJ P NAIR
  • DR Y K MISHRA
  • DR BHABA NANDA DAS
  • DR. T. S. KLER
  • DR. PAWAN ZUTSHI
  • DR. RITESH SANGURI
  • DR. SATBIR SINGH
  • DR. SHILPI MOHAN

 

Which Are The Best Hospitals For Coronary Artery Bypass Graft (CABG) Surgery In India?